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短头犬硬腭的解剖结构及使用CO激光治疗后天性腭炎

Anatomy of the Brachycephalic Canine Hard Palate and Treatment of Acquired Palatitis Using CO Laser.

作者信息

Regalado Ibarra Adriana Margarita, Legendre Loïc

机构信息

West Coast Veterinary Dental Services, Vancouver, British Columbia, Canada.

出版信息

J Vet Dent. 2019 Sep;36(3):186-197. doi: 10.1177/0898756419893127.

Abstract

The goal of this article is to review the anatomy of the brachycephalic canine hard palate and provide a step-by-step guide on diagnosis and treatment of acquired palatitis using the CO surgical laser. Brachycephalic breed-related defects are not only limited to the upper airways, some dogs may develop secondary systemic or localized problems. An abnormality that is over-represented in some breeds such as boxers and bulldogs is prominent palatal rugae. The greater depth of the palatal rugae allows for the entrapment of plaque, food debris and hair. Thus, acquired palatitis or granulomatous lesions may develop. This oral pathology and its consequences are commonly neglected by the owners and frequently missed by the veterinarians. Scientific evidence-based diagnosis and treatment for this breed-related oral pathology are absent in the veterinary literature. This article is the first in providing the elements needed for an adequate morphological characterization of the canine hard palate, allowing veterinarians to appropriately identify anomalous areas of the soft tissue component of the hard palate. This article illustrates the use of a noninvasive surgical technique to prevent and cure the sequelae associated with anomalous palatal rugae. The CO surgical laser provides a suitable method by offering the fast resolution of the lesions and permanent results.

摘要

本文的目的是回顾短头犬硬腭的解剖结构,并提供一份使用CO外科激光诊断和治疗后天性腭炎的分步指南。与短头犬品种相关的缺陷不仅局限于上呼吸道,一些犬可能会出现继发性全身或局部问题。在某些品种如拳师犬和斗牛犬中过度出现的一种异常是腭皱襞突出。腭皱襞更深会导致牙菌斑、食物残渣和毛发滞留。因此,可能会发展为后天性腭炎或肉芽肿性病变。这种口腔病理学及其后果通常被主人忽视,也经常被兽医漏诊。兽医文献中缺乏针对这种与品种相关的口腔病理学的基于科学证据的诊断和治疗方法。本文首次提供了对犬硬腭进行充分形态学特征描述所需的要素,使兽医能够适当地识别硬腭软组织成分的异常区域。本文阐述了一种非侵入性手术技术的应用,以预防和治疗与异常腭皱襞相关的后遗症。CO外科激光通过快速消除病变并产生永久性效果提供了一种合适的方法。

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